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Acute kidney injury: quick reference for management

…or is there approaching, an indication for dialysis? AKI occurs in about one fifth of adults during a hospital episode in international studies and is…

Ambulatory blood pressure monitoring and Holter ECG

…and irregular ventricular rate (oscillometric measurement becomes unreliable), lymphoedema or a dialysis fistula in both arms, an arm circumference too large for the available cuffs…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

… check more frequently. Warfarin is often preferable <15 or dialysis DOACs are not recommended. Warfarin after individual assessment Rule of thumb for the monitoring interval…

Arterial line

…s phenomenon, thromboangiitis obliterans. An arm with an AV fistula or with planned vascular access for dialysis. Previous vascular surgery in the area. Coagulopathy and…

Central venous catheter

…incompatible infusions. Haemodialysis, plasmapheresis or other extracorporeal therapy (requires a large bore dialysis catheter, not an ordinary triple lumen catheter). Measurement of central venous pressure…

Hyperkalaemia: quick reference for emergency treatment

…insulin. 7. Contact nephrology early in anuria, in a dialysis patient, in severe acute kidney injury, in treatment failure or in ongoing massive potassium release…

Injection technique — intramuscular, subcutaneous and intradermal

…on the same side. A paretic limb — poorer absorption. Injection into an arm with a dialysis fistula. Preparation and equipment Hand disinfection; gloves where there…

Poisoning: quick reference for antidotes and initial management

…pregnancy, children, a need for an antidote or dialysis, and whenever the clinical course deviates from what was expected. The poison control centre is the…

Warfarin therapy

…for the first week. Indications A mechanical valve prosthesis — warfarin is mandatory, and direct oral anticoagulants (DOACs) are contraindicated. Antiphospholipid syndrome, particularly triple positive disease…

🟠 ATRIA (Anticoagulation and Risk Factors in Atrial Fibrillation) Bleeding Risk Score

…3 points) Severe Renal Disease: Estimated glomerular filtration rate (eGFR) <30 mL/min or dialysis dependent (3 points) Age ≥75 years: (2 points) Prior Bleeding:…

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